Organization
BEN ALYESH, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ALYESH DDS (OWNER DENTIST)
(818) 826-9629
Entity
Organization
Contact information
Practice address
8628 VAN NUYS BLVD STE 200, PANORAMA CITY, CA 91402-2913
(818) 895-1321
(818) 892-3778
Mailing address
8628 VAN NUYS BLVD STE 200, PANORAMA CITY, CA 91402-2913
(818) 895-1321
(818) 892-3778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65169
DENTIST
CA
Enumeration date
11/09/2020
Last updated
11/09/2020
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